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General NPI Number Information
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NPI Number | 1437360153
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Entity Type | Organization
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Legal Business Name | ATHENS OPTICAL INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/17/2008
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Provider Practice Location Address
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Address Line | 525 RICHLAND AVE
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City | ATHENS
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State | OH
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Zip | 45701-3758
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Country | US
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Telephone | 740-592-3937
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Fax | 740-592-3934
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Provider Business Mailing Address
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Address Line | 525 RICHLAND AVE
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City | ATHENS
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State | OH
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Zip | 45701-3758
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Country | US
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Telephone | 740-592-3937
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Fax | 740-592-3934
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK FELDMAN
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Credential |
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Telephone | 740-592-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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